Lyssa Carroll

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5080 California Ave Ste 250
Bakersfield, CA 93309-0732

Phone

(661) 258-3240

Fax

(855) 568-2494

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1871192559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 CALIFORNIA AVE STE 250",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090732",
            "telephone_number": "661-258-3240",
            "fax_number": "855-568-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 CALIFORNIA AVE STE 250",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090732",
            "telephone_number": "661-258-3240",
            "fax_number": "855-568-2494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2535 16th St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933013417",
            "country_code": "US",
            "telephone_number": "805-979-9941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "LYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Carrillo
• Stephany Ailyn Carrillo
• Pamela Ann Carrisalez
• Elizabeth Carrizalez
• Catlin Carroll, SLP
• Stephenie Diane Carroll, LMFT/ CADC III
• Charles Dawson Carter III, M.D.
• Crisol Alexandria Carter
• Faith Elizabeth Carter
• Kimberlee Carter

• Behavior Technician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.